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NPI 1790753515 · Takoma Park, MD · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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Andrei Gursky is a thoracic surgery (cardiothoracic vascular surgery) physician provider located in Takoma Park, Maryland. This profile covers 25 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Andrei Gursky |
| Address | 7610 Carroll Ave Ste 100 |
| City | Takoma Park |
| State | MD |
| ZIP | 20912 |
| Taxonomy | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| NPI Enumerated | March 9, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $4.7M |
| Medicaid | $0 |
Medicare dominates this provider’s recorded billing: lifetime Medicare revenue is $4.7M while Medicaid revenue is $0, making the provider effectively single‑payer (Medicare) in the available data. The provider’s NPI was enumerated 2006-03-09 (~20 years ago), indicating a long-tenured practice focused in the Medicare population.
Revenue is highly concentrated in a small set of endovascular codes: the precomputed top 3 Medicare codes account for 87.4% of total Medicare revenue, with 37229 producing $2.6M (54.5% of Medicare revenue; 307 claims, $8352 avg paid/claim), 37225 producing $1.2M (26.0% of Medicare revenue; 265 claims, $4618 avg paid/claim), and 37252 producing $323.8K (6.9% of Medicare revenue; 355 claims, $912 avg paid/claim). This concentration signals a practice whose economics depend heavily on a narrow set of high-reimbursement peripheral vascular interventions.
The CPT/HCPCS mix and taxonomy (Thoracic Surgery—Cardiothoracic Vascular Surgery) point to a procedural service line centered on peripheral endovascular interventions with routine use of intravascular ultrasound and angiographic guidance. High-volume listings for intravascular ultrasound add-on code 37252 and angiography supervision codes (e.g., 75625, 75716, 75710) plus sedation and ultrasound-guidance codes (99152, 99153, 76937) are consistent with an interventional vascular suite model rather than a primarily clinic-based practice.
On competitive standing for key procedures, the provider is a national outlier: 37229 ranks #6 of 603 providers nationally (99th percentile; extreme outlier) and 37225 ranks #7 of 715 providers nationally (99th percentile; extreme outlier), while 37252 ranks #9 of 1088 providers (99th percentile; extreme outlier). These ranks indicate the provider is a high-volume, nationally prominent operator for these specific endovascular codes, not a modest regional participant.
Several imaging and supervision codes further underscore a high-intensity procedural practice: 75625 (imaging supervision for abdominal aortography) ranks #1 of 1610 providers nationally (100th percentile; extreme outlier), 75716 ranks #4 of 953 (100th percentile; extreme outlier), and 76937 ranks #16 of 12234 (100th percentile; extreme outlier). Those high ranks for radiologic supervision and ultrasound-guidance support the view that imaging and procedural support are core revenue drivers alongside the principal intervention codes.
The dataset includes a set of codes with large claim counts but no recorded Medicare payment per unit (e.g., Q9967: 15.3K claims, $0 avg paid/claim, $0 revenue; J2250: 592 claims, $0 avg paid/claim, $0 revenue). These entries suggest services or supplies are being filed routinely on claims but are not generating separate Medicare revenue in the available payment field; this affects interpretation of claim volume versus paid revenue.
Not all billed procedure codes are outliers; a number of codes appear at typical volumes and contribute modestly to revenue. Examples include 37227 ($224K; ranks #171 of 363, 50th percentile—typical), 37233 ($70.8K; ranks #14 of 109, 88th percentile—typical/unremarkable), and several E/M and nursing facility codes (99305, 99308, 99309) that together represent small supplemental revenue streams relative to the dominant interventional codes.
Taken together, the profile indicates an experienced thoracic/cardiothoracic vascular surgeon operating a high-throughput endovascular practice that is heavily Medicare‑dependent and nationally high‑volume for a handful of peripheral vascular procedure codes. Operational or contracting analyses should focus on the financial and utilization exposure tied to 37229, 37225, and 37252 given their outsized share of the $4.7M Medicare revenue and the practice’s limited or absent Medicaid footprint.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 37229 | N/A | 310 | $8,350 | $2.6M |
| 37225 | N/A | 270 | $4,620 | $1.2M |
| 37252 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 360 | $910 | $323.8K |
| 37227 | N/A | 20 | $10,180 | $224K |
| 37253 | In this add–on procedure, the provider inserts a specially designed catheter with an ultrasound transducer, a device that sends high–frequency sound waves through the tissues and detects their… | 480 | $160 | $75.5K |
| 37233 | N/A | 70 | $980 | $70.8K |
| 75625 | In this procedure, the provider performs imaging supervision and interpretation for abdominal aortography with serialography. Report this code to represent only imaging supervision and interpretation… | 310 | $100 | $32K |
| 36465 | In this procedure, the provider injects a noncompounded foam sclerosing solution into a single incompetent truncal vein of the extremity under ultrasound guidance to guide the dispersion of foam,… | 20 | $1,270 | $29.3K |
| 37221 | N/A | 10 | $2,240 | $26.9K |
| 75716 | Angiography is an X–ray study of the blood vessels that helps physicians diagnose and treat medical conditions. Angiography uses a radiopaque substance (dye) to make the blood vessels visible under… | 170 | $140 | $22.7K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
25 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 37229 | 2 | 30 | 30 | $7,390 | $480.1K |
| 37227 | 13 | 30 | 20 | $9,310 | $298K |
| 37225 | 2 | 30 | 30 | $5,210 | $291.8K |
| 36465 | 24 | 40 | 30 | $1,160 | $73K |
| 37252 | 1 | 40 | 60 | $760 | $60.2K |
| 99309 | 712 | 760 | 340 | $80 | $48.5K |
| 37233 | 1 | 10 | 30 | $940 | $34.9K |
| 99308 | 505 | 690 | 220 | $60 | $30.5K |
| 37221 | 11 | 10 | 20 | $1,520 | $27.3K |
| 99214 | 9,279 | 10,270 | 150 | $90 | $24.1K |
Showing 1–10 of 25
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 10 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Maryland median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 93925 | The provider performs a duplex ultrasound scan of the lower extremity arteries or bypass grafts on both sides. Providers perform noninvasive arterial diagnostic procedures to examine the rate of… | 26 | 30 | 350 | $50 | $99.8K |
Other providers in the same ZIP code as Andrei Gursky, ranked by combined Medicare and Medicaid revenue.
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